Evaluating the educational effectiveness of an 8-week patient management course for surgical interns: A nine-year analysis

Am J Surg. 2020 May;219(5):800-803. doi: 10.1016/j.amjsurg.2020.02.038. Epub 2020 Feb 25.

Abstract

Introduction: Our general surgery program mandates an 8-week "intern school" (IS) for matriculating surgery interns. The course consists of a pre-test, didactics, and a post-test. We hypothesized IS exam performance would correlate with American Board of Surgery In Training Examination (ABSITE) scores.∖ METHODS: This was a retrospective analysis of IS pre- and post-tests and ABSITE scores for all OHSU surgery interns from 2010 to 2018. McNemar's, chi-square, and Pearson tests were calculated.

Results: The pre and post-test pass rate for 293 interns was 26% vs. 86% (p < 0.001). Categorical interns were more likely to pass the pre-test (33% vs 11% p = 0.004), and the post-test (96% vs 83% p = 0.007) than non-designated interns and more likely to pass the post-test than designated preliminary intern (96% vs 80%, p = 0.0014). There was no correlation between IS exams and ABSITE performance.

Discussion: IS improves exam performance, but IS test scores do not correlate with ABSITE scores, and the program is not a means to identify interns at risk of poor ABSITE performance.

Keywords: American board of surgery in-training exam; Intern preparedness; Medical education; Surgical education.

MeSH terms

  • Adult
  • Clinical Competence
  • Curriculum
  • Education, Medical, Graduate / methods*
  • Educational Measurement*
  • Female
  • General Surgery / education*
  • Humans
  • Internship and Residency*
  • Male
  • Oregon
  • Program Evaluation
  • Retrospective Studies